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Questions and Answers
What is the nurse's recommendation for a patient with narrow-angle glaucoma experiencing cold symptoms of nasal congestion and runny nose?
What is the nurse's recommendation for a patient with narrow-angle glaucoma experiencing cold symptoms of nasal congestion and runny nose?
- Azelastine (correct)
- Chlorpheniramine maleate
- Cetirizine
- Diphenhydramine
Why are anticholinergic effects concerning for patients with narrow-angle glaucoma?
Why are anticholinergic effects concerning for patients with narrow-angle glaucoma?
- They reduce the risk of glaucoma surgery.
- They can lead to increased intraocular pressure. (correct)
- They promote better drainage of the eye.
- They can worsen nasal congestion.
What action should the nurse take if a patient receiving diphenhydramine has not voided for 12 hours?
What action should the nurse take if a patient receiving diphenhydramine has not voided for 12 hours?
- Request an order for an intravenous fluid bolus.
- Encourage the patient to drink more fluids.
- Evaluate the bladder to check for distension. (correct)
- Request an order for urinary catheterization.
Which medication mentioned is a second-generation antihistamine with fewer anticholinergic side effects?
Which medication mentioned is a second-generation antihistamine with fewer anticholinergic side effects?
Why should the nurse assess for bladder distension in a patient on diphenhydramine who has not voided?
Why should the nurse assess for bladder distension in a patient on diphenhydramine who has not voided?
What is the advantage of azelastine over cetirizine as a recommendation for a patient with narrow-angle glaucoma?
What is the advantage of azelastine over cetirizine as a recommendation for a patient with narrow-angle glaucoma?
What should the nurse's first action be when a patient arrives in the emergency department after eating strawberries and developing a rash, runny nose, and sneezing?
What should the nurse's first action be when a patient arrives in the emergency department after eating strawberries and developing a rash, runny nose, and sneezing?
What information should the nurse provide to a patient who is recommended to take diphenhydramine at bedtime for nighttime symptoms of coughing and sneezing?
What information should the nurse provide to a patient who is recommended to take diphenhydramine at bedtime for nighttime symptoms of coughing and sneezing?
Which decongestant is subject to regulatory limits on drug sales, with a 30-day limit of 9 grams for individuals?
Which decongestant is subject to regulatory limits on drug sales, with a 30-day limit of 9 grams for individuals?
For a patient hospitalized for an asthma exacerbation who was taking diphenhydramine at home for allergic rhinitis and cough, what medication should the nurse request an order for?
For a patient hospitalized for an asthma exacerbation who was taking diphenhydramine at home for allergic rhinitis and cough, what medication should the nurse request an order for?
What should the nurse recommend to a patient who reports worsening nasal congestion after using a topical nasal decongestant spray for a few weeks?
What should the nurse recommend to a patient who reports worsening nasal congestion after using a topical nasal decongestant spray for a few weeks?
What is the main difference between nasal phenylephrine and ephedrine?
What is the main difference between nasal phenylephrine and ephedrine?
Which of the following is NOT a potential adverse reaction to dextromethorphan?
Which of the following is NOT a potential adverse reaction to dextromethorphan?
Why should dextromethorphan be used with caution in patients with asthma or bronchitis?
Why should dextromethorphan be used with caution in patients with asthma or bronchitis?
What type of medication is benzonatate?
What type of medication is benzonatate?
Why should patients taking guaifenesin increase their fluid intake?
Why should patients taking guaifenesin increase their fluid intake?
What effect do oral antihistamines have on secretions when taken with guaifenesin?
What effect do oral antihistamines have on secretions when taken with guaifenesin?
What statement by a patient with mild emphysema indicates a misunderstanding of the medication regimen?
What statement by a patient with mild emphysema indicates a misunderstanding of the medication regimen?
Why is epinephrine given to a patient experiencing acute bronchospasm?
Why is epinephrine given to a patient experiencing acute bronchospasm?
What is the purpose of providing albuterol to a patient with asthma?
What is the purpose of providing albuterol to a patient with asthma?
What can be expected when albuterol is used by a patient with asthma?
What can be expected when albuterol is used by a patient with asthma?
In what scenario would prophylactic antibiotics be contraindicated for a patient with emphysema?
In what scenario would prophylactic antibiotics be contraindicated for a patient with emphysema?
Why are symptoms of emphysema considered generally irreversible?
Why are symptoms of emphysema considered generally irreversible?
What is the primary mechanism of action of tiotropium in treating bronchospasms associated with COPD?
What is the primary mechanism of action of tiotropium in treating bronchospasms associated with COPD?
Why should patients using cromolyn sodium for bronchospasms drink water before and after using the inhaler?
Why should patients using cromolyn sodium for bronchospasms drink water before and after using the inhaler?
Why is it not advisable for patients to use cromolyn sodium as a rescue inhaler?
Why is it not advisable for patients to use cromolyn sodium as a rescue inhaler?
What is a common side effect experienced by patients using cromolyn sodium daily?
What is a common side effect experienced by patients using cromolyn sodium daily?
Why should patients on cromolyn sodium avoid abruptly stopping the medication?
Why should patients on cromolyn sodium avoid abruptly stopping the medication?
When teaching a patient beginning oral theophylline about this drug, what should the nurse instruct the patient regarding caffeine consumption?
When teaching a patient beginning oral theophylline about this drug, what should the nurse instruct the patient regarding caffeine consumption?
What should the nurse recommend to a patient prescribed oral theophylline about dosing changes without consulting their provider?
What should the nurse recommend to a patient prescribed oral theophylline about dosing changes without consulting their provider?
If a patient on intravenous theophylline complains of headaches and nausea, what action should the nurse take?
If a patient on intravenous theophylline complains of headaches and nausea, what action should the nurse take?
For a patient taking tiotropium, what medication class does this belong to?
For a patient taking tiotropium, what medication class does this belong to?
When caring for a patient who smokes and will start taking theophylline at home, what dose adjustment does the nurse anticipate?
When caring for a patient who smokes and will start taking theophylline at home, what dose adjustment does the nurse anticipate?
What is a common side effect that patients should monitor for when using bronchodilators?
What is a common side effect that patients should monitor for when using bronchodilators?
What action should a patient taking an inhaled corticosteroid perform to prevent Candida albicans infections?
What action should a patient taking an inhaled corticosteroid perform to prevent Candida albicans infections?
Which statement is true regarding the difference between oral and inhaled forms of albuterol?
Which statement is true regarding the difference between oral and inhaled forms of albuterol?
Why should a patient avoid using ibuprofen or aspirin while taking montelukast?
Why should a patient avoid using ibuprofen or aspirin while taking montelukast?
What is a common side effect associated with ephedra interacting with theophylline?
What is a common side effect associated with ephedra interacting with theophylline?
For a patient with COPD prescribed tiotropium, what is a key instruction that should be provided?
For a patient with COPD prescribed tiotropium, what is a key instruction that should be provided?
What laboratory tests should be monitored in a patient taking montelukast and an albuterol inhaler?
What laboratory tests should be monitored in a patient taking montelukast and an albuterol inhaler?
How often should montelukast be dosed based on its recommended usage?
How often should montelukast be dosed based on its recommended usage?
Which medication form is likely to have less systemic side effects when used correctly?
Which medication form is likely to have less systemic side effects when used correctly?
What is advised to prevent deposits of inhaled medication in the oral cavity?
What is advised to prevent deposits of inhaled medication in the oral cavity?
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